Gender differences of success rate of percutaneous coronary intervention and short term cardiac events in Korea Acute Myocardial Infarction Registry

Ki Hong Lee, Myung Ho Jeong, Young Keun Ahn, Jong Hyun Kim, Shung Chull Chae, Young Jo Kim, Seung Ho Hur, In Whan Seong, Taek Jong Hong, Donghoon Choi, Myeong Chan Cho, Chong Jin Kim, Ki Bae Seung, Wook Sung Chung, Yangsoo Jang, Jeong Gwan Cho, Seung Jung Park

Research output: Contribution to journalArticle

42 Citations (Scopus)

Abstract

Background and objectives: The first on-line prospective, open and observational registration, Korea Acute Myocardial Infarction Registry (KAMIR), has been carried out throughout 41 primary percutaneous coronary intervention (PCI) centers by the support of the Korean Circulation Society (KCS) in the memorandum of the 50th Anniversary of the KCS. Subjects and methods: Between Nov 2005 and Aug 2006, 5624 enrolled patients (3925 male, 1699 female; age = 64.0 ± 13.0 years) were analyzed. The treatment strategy of acute myocardial infarction (AMI) was analyzed according to the sex differences in the field of acute ST-segment elevation myocardial infarction (STEMI) and non-ST-segment elevation myocardial infarction (NSTEMI). Results: In the initial selection of treatment strategy, invasive treatment was more commonly performed in males than females with both STEMI and NSTEMI (82.0% vs. 78.7%, p = 0.001; 50.4% vs. 43.7%, p = 0.004). Severe heart failure was the most important predictor of invasive treatment after multivariate adjustment. During hospital stay, PCI regardless of its subtype was more frequently performed in males than in females with both STEMI and NSTEMI (STEMI: 89.5% vs. 84.7%, p < 0.001; NSTEMI: 77.0% vs. 66.7%, p < 0.001). Success rate of PCI in STEMI was not different between the sexes (95.8% vs. 93.8%, p = 0.075), but that of NSTEMI was higher in males than females (96.8% vs. 95.6%, p = 0.005). Major adverse cardiac events (MACE) developed more frequently in women than men with both STEMI (9.2% vs. 17.0%, p < 0.001) and NSTEMI (7.3% vs. 12.0%, p < 0.001) during 1 month clinical follow-up. Conclusions: In the initial treatment of AMI in Korea, there is no gender difference for invasive treatment. However, success rate of PCI in NSTEMI was lower and 1 month MACE was higher in females than males in Korea.

Original languageEnglish
Pages (from-to)227-234
Number of pages8
JournalInternational Journal of Cardiology
Volume130
Issue number2
DOIs
Publication statusPublished - 2008 Nov 12

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Percutaneous Coronary Intervention
Korea
Registries
Myocardial Infarction
Therapeutics
Anniversaries and Special Events
Non-ST Elevated Myocardial Infarction
Sex Characteristics
Length of Stay
Heart Failure

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

Cite this

Lee, Ki Hong ; Jeong, Myung Ho ; Ahn, Young Keun ; Kim, Jong Hyun ; Chae, Shung Chull ; Kim, Young Jo ; Hur, Seung Ho ; Seong, In Whan ; Hong, Taek Jong ; Choi, Donghoon ; Cho, Myeong Chan ; Kim, Chong Jin ; Seung, Ki Bae ; Chung, Wook Sung ; Jang, Yangsoo ; Cho, Jeong Gwan ; Park, Seung Jung. / Gender differences of success rate of percutaneous coronary intervention and short term cardiac events in Korea Acute Myocardial Infarction Registry. In: International Journal of Cardiology. 2008 ; Vol. 130, No. 2. pp. 227-234.
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title = "Gender differences of success rate of percutaneous coronary intervention and short term cardiac events in Korea Acute Myocardial Infarction Registry",
abstract = "Background and objectives: The first on-line prospective, open and observational registration, Korea Acute Myocardial Infarction Registry (KAMIR), has been carried out throughout 41 primary percutaneous coronary intervention (PCI) centers by the support of the Korean Circulation Society (KCS) in the memorandum of the 50th Anniversary of the KCS. Subjects and methods: Between Nov 2005 and Aug 2006, 5624 enrolled patients (3925 male, 1699 female; age = 64.0 ± 13.0 years) were analyzed. The treatment strategy of acute myocardial infarction (AMI) was analyzed according to the sex differences in the field of acute ST-segment elevation myocardial infarction (STEMI) and non-ST-segment elevation myocardial infarction (NSTEMI). Results: In the initial selection of treatment strategy, invasive treatment was more commonly performed in males than females with both STEMI and NSTEMI (82.0{\%} vs. 78.7{\%}, p = 0.001; 50.4{\%} vs. 43.7{\%}, p = 0.004). Severe heart failure was the most important predictor of invasive treatment after multivariate adjustment. During hospital stay, PCI regardless of its subtype was more frequently performed in males than in females with both STEMI and NSTEMI (STEMI: 89.5{\%} vs. 84.7{\%}, p < 0.001; NSTEMI: 77.0{\%} vs. 66.7{\%}, p < 0.001). Success rate of PCI in STEMI was not different between the sexes (95.8{\%} vs. 93.8{\%}, p = 0.075), but that of NSTEMI was higher in males than females (96.8{\%} vs. 95.6{\%}, p = 0.005). Major adverse cardiac events (MACE) developed more frequently in women than men with both STEMI (9.2{\%} vs. 17.0{\%}, p < 0.001) and NSTEMI (7.3{\%} vs. 12.0{\%}, p < 0.001) during 1 month clinical follow-up. Conclusions: In the initial treatment of AMI in Korea, there is no gender difference for invasive treatment. However, success rate of PCI in NSTEMI was lower and 1 month MACE was higher in females than males in Korea.",
author = "Lee, {Ki Hong} and Jeong, {Myung Ho} and Ahn, {Young Keun} and Kim, {Jong Hyun} and Chae, {Shung Chull} and Kim, {Young Jo} and Hur, {Seung Ho} and Seong, {In Whan} and Hong, {Taek Jong} and Donghoon Choi and Cho, {Myeong Chan} and Kim, {Chong Jin} and Seung, {Ki Bae} and Chung, {Wook Sung} and Yangsoo Jang and Cho, {Jeong Gwan} and Park, {Seung Jung}",
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Lee, KH, Jeong, MH, Ahn, YK, Kim, JH, Chae, SC, Kim, YJ, Hur, SH, Seong, IW, Hong, TJ, Choi, D, Cho, MC, Kim, CJ, Seung, KB, Chung, WS, Jang, Y, Cho, JG & Park, SJ 2008, 'Gender differences of success rate of percutaneous coronary intervention and short term cardiac events in Korea Acute Myocardial Infarction Registry', International Journal of Cardiology, vol. 130, no. 2, pp. 227-234. https://doi.org/10.1016/j.ijcard.2007.08.044

Gender differences of success rate of percutaneous coronary intervention and short term cardiac events in Korea Acute Myocardial Infarction Registry. / Lee, Ki Hong; Jeong, Myung Ho; Ahn, Young Keun; Kim, Jong Hyun; Chae, Shung Chull; Kim, Young Jo; Hur, Seung Ho; Seong, In Whan; Hong, Taek Jong; Choi, Donghoon; Cho, Myeong Chan; Kim, Chong Jin; Seung, Ki Bae; Chung, Wook Sung; Jang, Yangsoo; Cho, Jeong Gwan; Park, Seung Jung.

In: International Journal of Cardiology, Vol. 130, No. 2, 12.11.2008, p. 227-234.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Gender differences of success rate of percutaneous coronary intervention and short term cardiac events in Korea Acute Myocardial Infarction Registry

AU - Lee, Ki Hong

AU - Jeong, Myung Ho

AU - Ahn, Young Keun

AU - Kim, Jong Hyun

AU - Chae, Shung Chull

AU - Kim, Young Jo

AU - Hur, Seung Ho

AU - Seong, In Whan

AU - Hong, Taek Jong

AU - Choi, Donghoon

AU - Cho, Myeong Chan

AU - Kim, Chong Jin

AU - Seung, Ki Bae

AU - Chung, Wook Sung

AU - Jang, Yangsoo

AU - Cho, Jeong Gwan

AU - Park, Seung Jung

PY - 2008/11/12

Y1 - 2008/11/12

N2 - Background and objectives: The first on-line prospective, open and observational registration, Korea Acute Myocardial Infarction Registry (KAMIR), has been carried out throughout 41 primary percutaneous coronary intervention (PCI) centers by the support of the Korean Circulation Society (KCS) in the memorandum of the 50th Anniversary of the KCS. Subjects and methods: Between Nov 2005 and Aug 2006, 5624 enrolled patients (3925 male, 1699 female; age = 64.0 ± 13.0 years) were analyzed. The treatment strategy of acute myocardial infarction (AMI) was analyzed according to the sex differences in the field of acute ST-segment elevation myocardial infarction (STEMI) and non-ST-segment elevation myocardial infarction (NSTEMI). Results: In the initial selection of treatment strategy, invasive treatment was more commonly performed in males than females with both STEMI and NSTEMI (82.0% vs. 78.7%, p = 0.001; 50.4% vs. 43.7%, p = 0.004). Severe heart failure was the most important predictor of invasive treatment after multivariate adjustment. During hospital stay, PCI regardless of its subtype was more frequently performed in males than in females with both STEMI and NSTEMI (STEMI: 89.5% vs. 84.7%, p < 0.001; NSTEMI: 77.0% vs. 66.7%, p < 0.001). Success rate of PCI in STEMI was not different between the sexes (95.8% vs. 93.8%, p = 0.075), but that of NSTEMI was higher in males than females (96.8% vs. 95.6%, p = 0.005). Major adverse cardiac events (MACE) developed more frequently in women than men with both STEMI (9.2% vs. 17.0%, p < 0.001) and NSTEMI (7.3% vs. 12.0%, p < 0.001) during 1 month clinical follow-up. Conclusions: In the initial treatment of AMI in Korea, there is no gender difference for invasive treatment. However, success rate of PCI in NSTEMI was lower and 1 month MACE was higher in females than males in Korea.

AB - Background and objectives: The first on-line prospective, open and observational registration, Korea Acute Myocardial Infarction Registry (KAMIR), has been carried out throughout 41 primary percutaneous coronary intervention (PCI) centers by the support of the Korean Circulation Society (KCS) in the memorandum of the 50th Anniversary of the KCS. Subjects and methods: Between Nov 2005 and Aug 2006, 5624 enrolled patients (3925 male, 1699 female; age = 64.0 ± 13.0 years) were analyzed. The treatment strategy of acute myocardial infarction (AMI) was analyzed according to the sex differences in the field of acute ST-segment elevation myocardial infarction (STEMI) and non-ST-segment elevation myocardial infarction (NSTEMI). Results: In the initial selection of treatment strategy, invasive treatment was more commonly performed in males than females with both STEMI and NSTEMI (82.0% vs. 78.7%, p = 0.001; 50.4% vs. 43.7%, p = 0.004). Severe heart failure was the most important predictor of invasive treatment after multivariate adjustment. During hospital stay, PCI regardless of its subtype was more frequently performed in males than in females with both STEMI and NSTEMI (STEMI: 89.5% vs. 84.7%, p < 0.001; NSTEMI: 77.0% vs. 66.7%, p < 0.001). Success rate of PCI in STEMI was not different between the sexes (95.8% vs. 93.8%, p = 0.075), but that of NSTEMI was higher in males than females (96.8% vs. 95.6%, p = 0.005). Major adverse cardiac events (MACE) developed more frequently in women than men with both STEMI (9.2% vs. 17.0%, p < 0.001) and NSTEMI (7.3% vs. 12.0%, p < 0.001) during 1 month clinical follow-up. Conclusions: In the initial treatment of AMI in Korea, there is no gender difference for invasive treatment. However, success rate of PCI in NSTEMI was lower and 1 month MACE was higher in females than males in Korea.

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